Individual provider Active NPI

Moira O'Brien, MSW, APSW

  • Clinical Social Worker
  • Stoughton, WI
National Provider Identifier
1245085729
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
134505-121 Issued in WI
Practice address
3185 Deer Point Dr Ste a
Stoughton, WI 53589-3773
Phone
(608) 873-7838
NPI assigned
Apr 18, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 134505-121 WI Primary

Addresses

Primary practice location

3185 Deer Point Dr Ste a
Stoughton, WI 53589-3773

Mailing address

6207 Pheasant Run
McFarland, WI 53558-9123
Phone (254) 493-0857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
134505-121WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanhawk Counseling Alternatives LLC CurrentSince Apr 21, 2024 Accepting new patients

Locations

3185 Deer Point Dr
Ste A
Stoughton, WI 53589
Phone (608) 873-7838

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1245085729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 PHEASANT RUN",
            "city": "MCFARLAND",
            "state": "WI",
            "postal_code": "535589123",
            "telephone_number": "254-493-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 DEER POINT DR STE A",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535893773",
            "telephone_number": "608-873-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MOIRA",
        "credential": "MSW, APSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "134505-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.